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After
your operation is over, the hard work really begins. The goals of physical
therapy and rehabilitation after ACL surgery are to rebuild your strength
and to get your motion back. This whole process requires a lot of work
and patience on your part, but it is the most important aspect to getting
you back on the playing field. In the past, rehabilitation after an ACL
injury was primarily concerned with protecting the new ligament and the
surgical fixation. For that reason, full extension of the knee and active
quadriceps exercises were avoided. Unfortunately, it has been discovered
that this type of rehabilitation can cause problems with stiffness and
may result in a limited range of motion. An accelerated course for rehabilitation
after ACL reconstruction was published in the American Journal of Sports
Medicine. This program is divided into four phases, as follows.

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